Provider Demographics
NPI:1083265508
Name:JORDEN, AURELIA (LPC, ATR)
Entity Type:Individual
Prefix:
First Name:AURELIA
Middle Name:
Last Name:JORDEN
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:AURELIA
Other - Middle Name:
Other - Last Name:NUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, ATR
Mailing Address - Street 1:2502 POWELL AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-1892
Mailing Address - Country:US
Mailing Address - Phone:814-580-6818
Mailing Address - Fax:866-297-6198
Practice Address - Street 1:2502 POWELL AVE STE 6
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-1892
Practice Address - Country:US
Practice Address - Phone:814-580-6818
Practice Address - Fax:866-297-6198
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPCO11303101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional